原创 65岁以上老人，有自己的血糖标准！多少才正常？瞧瞧标准范围
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">84岁的张大爷和邻居刘大爷<span style="color: black;">抱怨</span>，说自家30岁的孙子前两天确诊“糖尿病前期”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">刘大爷是<span style="color: black;">数年</span>的糖尿病<span style="color: black;">病人</span>了，<span style="color: black;">针对</span>糖尿病知识都有<span style="color: black;">必定</span>理解，说道：“这糖尿病前期还不算糖尿病<span style="color: black;">病人</span>，积极<span style="color: black;">干涉</span>是<span style="color: black;">能够</span>逆转的！”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">张大爷无奈道：“道理我都懂，但孙子和我隔着辈分，我说的他都不听，可把我愁坏了。”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“糖尿病可不是小事，<span style="color: black;">科研</span>说了，越早得糖尿病，这个寿命就越受影响。”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“还有这种事？那我可得好好说说他，再怎么样<span style="color: black;">亦</span><span style="color: black;">不可</span>拿生命开玩笑！”</p><img src="//q0.itc.cn/images01/20240623/338483966aba4d63a70a5b76d9121938.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">生活中，<span style="color: black;">咱们</span>都<span style="color: black;">晓得</span>糖尿病是种慢性病，但有种糖尿病却很特殊，攻击性很强，那<span style="color: black;">便是</span>——早发2型糖尿病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1、</span>柳叶刀：30岁前患糖尿病，寿命缩短14年</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">糖尿病，<span style="color: black;">做为</span>一种慢性代谢<span style="color: black;">疾患</span>，<span style="color: black;">一般</span><span style="color: black;">经过</span>良好的血糖管理可以实现与<span style="color: black;">疾患</span>共存的生活状态，对生命不<span style="color: black;">形成</span>直接威胁。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">然而，<strong style="color: blue;"><span style="color: black;">早发2型糖尿病</span>却比较特殊，</strong>它极具攻击性，与<span style="color: black;">咱们</span><span style="color: black;">一般</span>理解的慢性、渐进性糖尿病大相径庭。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">早发糖尿病指的是40岁之前确诊，</strong>据流行病学调查，在已就诊的糖尿病<span style="color: black;">病人</span>中，早发2型糖尿病患病率大概为10-15%。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">与年龄<span style="color: black;">很强</span>的糖尿病<span style="color: black;">病人</span>相比，早发2型糖尿病<span style="color: black;">病人</span>通常<span style="color: black;">持有</span><strong style="color: blue;">更高的体重指数（BMI）、更高的血压、更高的动脉粥样硬化<span style="color: black;">关联</span>血脂浓度，以及血糖<span style="color: black;">掌控</span>的<span style="color: black;">快速</span>恶化。</strong>这些<span style="color: black;">有害</span><span style="color: black;">原因</span><span style="color: black;">一起</span><span style="color: black;">功效</span>，可能<span style="color: black;">诱发</span>严重的并发症，<span style="color: black;">引起</span><span style="color: black;">病人</span>过早死亡。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">发布</span>在<strong style="color: blue;"><span style="color: black;">《柳叶刀·糖尿病与内分泌学》</span></strong>上的一项<span style="color: black;">科研</span><span style="color: black;">亦</span><span style="color: black;">发掘</span>，与未患糖尿病的人相比，<strong style="color: blue;">在30岁、40岁和50岁被诊断<span style="color: black;">身患</span>糖尿病的人，<span style="color: black;">预期寿命将分别缩短约14年、10年和6年，</span></strong>可见早发糖尿病对寿命的影响。</p><img src="//q0.itc.cn/images01/20240623/06eeebe6c40c44958a170f07b7d889f0.png" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">中日友好医院内分泌科副<span style="color: black;">专家</span>医师王昕</span></strong>指出，<strong style="color: blue;">早发型糖尿病的病情<span style="color: black;">繁杂</span>，其病因多与生活方式密切<span style="color: black;">关联</span>，</strong><span style="color: black;">重点</span><span style="color: black;">包含</span>三点：<span style="color: black;">首要</span>，<span style="color: black;">青年</span>人<strong style="color: blue;"><span style="color: black;"><span style="color: black;">广泛</span>存在不健康的生活习惯，</span></strong>如<span style="color: black;">长期</span><span style="color: black;">运用</span>电子<span style="color: black;">制品</span>、久坐少动、频繁食用外卖等，这种高脂、高热量、高蛋白、低膳食纤维的<span style="color: black;">膳食</span>模式为糖尿病的<span style="color: black;">爆发</span>按下了“加速键”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其次，<strong style="color: blue;"><span style="color: black;">体重和腰围的<span style="color: black;">增多</span>，</span></strong>尤其是<span style="color: black;">过重</span>和内脏脂肪过量，会<span style="color: black;">引起</span>胰岛素抵抗和胰岛素分泌能力下降，<span style="color: black;">从而</span>降低人体对葡萄糖的利用效率。最后，<strong style="color: blue;"><span style="color: black;">遗传<span style="color: black;">原因</span>和家庭生活环境</span></strong><span style="color: black;">亦</span>对早发型糖尿病的发病起着<span style="color: black;">必定</span>的<span style="color: black;">功效</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>早发2型糖尿病，<span style="color: black;">必定</span>要有足够的<span style="color: black;">注重</span>。<span style="color: black;">经过</span>改善生活方式、<span style="color: black;">掌控</span>体重、保持健康<span style="color: black;">膳食</span>和适度运动，<span style="color: black;">咱们</span><span style="color: black;">能够</span>有效减少早发糖尿病的<span style="color: black;">危害</span>。</p><img src="//q0.itc.cn/images01/20240623/4600d73bd1104b9ca4b6913b808ab2e6.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2、</span>老年人有自己的血糖标准，多少才正常？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随着健康<span style="color: black;">认识</span>的<span style="color: black;">提高</span>，越来越多人<span style="color: black;">注重</span>自己的血糖指标。那血糖偏高，就<span style="color: black;">必定</span>是糖尿病吗？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">开封市人民医院主管检验师李庆敏</span></strong><span style="color: black;">暗示</span>，虽然血糖<span style="color: black;">上升</span>是糖尿病的一个<span style="color: black;">明显</span>特征，<strong style="color: blue;">但高血糖状态并不<span style="color: black;">必定</span><span style="color: black;">寓意</span>着<span style="color: black;">身患</span>糖尿病。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有时，<strong style="color: blue;">血糖水平的暂时<span style="color: black;">提升</span>可能是<span style="color: black;">因为</span>特定<span style="color: black;">原由</span><span style="color: black;">导致</span>，</strong>如前一天<span style="color: black;">夜晚</span>过量摄入高糖分<span style="color: black;">食品</span>。<span style="color: black;">另外</span>，某些应激<span style="color: black;">状况</span>，如感染、<span style="color: black;">晕倒</span>、手术或分娩等，<span style="color: black;">亦</span>可能<span style="color: black;">诱发</span>血糖的短暂<span style="color: black;">上升</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这是<span style="color: black;">因为</span>在这些<span style="color: black;">状况</span>下，人体会释放<span style="color: black;">太多</span>的糖皮质激素进入血液，从而<span style="color: black;">引起</span>血糖水平一过性<span style="color: black;">上升</span>。然而，一旦这些诱因被消除，血糖水平<span style="color: black;">一般</span>会自然恢复到正常范围内。</p><img src="//q1.itc.cn/images01/20240623/77f4fdf1bd404bc8963843fd067d924f.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">哪怕是确诊了糖尿病，<strong style="color: blue;">糖尿病的<span style="color: black;">掌控</span>标准<span style="color: black;">亦</span>因人而异，</strong><span style="color: black;">针对</span>老年人而言，随着年龄的增长血液的浓度<span style="color: black;">亦</span>会<span style="color: black;">持续</span><span style="color: black;">增多</span>，<span style="color: black;">因此</span>标准就没<span style="color: black;">那样</span>严格。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">《中国老年糖尿病诊疗指南（2024版）》</span></strong>针对<strong style="color: blue;">65岁以上的老年糖友</strong>的血糖<span style="color: black;">掌控</span><span style="color: black;">目的</span>进行了<span style="color: black;">知道</span>更新，这些<span style="color: black;">目的</span>并非<span style="color: black;">公众</span>认为的“空腹血糖必须＜7mmol/”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而是需要<span style="color: black;">按照</span><span style="color: black;">病人</span>的<strong style="color: blue;"><span style="color: black;">“身体健康状态”</span>和<span style="color: black;">“<span style="color: black;">是不是</span>应用低血糖<span style="color: black;">危害</span>较高的<span style="color: black;">药品</span>”</span></strong>两项指标来个性化<span style="color: black;">举荐</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">身体健康<span style="color: black;">重点</span>是看<span style="color: black;">有没有</span>慢性病，如<span style="color: black;">卒中、高血压、1~3期慢性肾脏病、骨关节炎等，低血糖<span style="color: black;">危害</span>较高<span style="color: black;">药品</span>则<span style="color: black;">包含</span><span style="color: black;">胰岛素、磺脲类、格列奈类<span style="color: black;">药品</span>等。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1、健康状态良好的老年糖友</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">健康状态：</strong>无共病或合并≤2种除糖尿病外的慢性<span style="color: black;">疾患</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">血糖<span style="color: black;">掌控</span><span style="color: black;">目的</span>：</strong>未<span style="color: black;">运用</span>低血糖<span style="color: black;">危害</span>较高的<span style="color: black;">药品</span>，空腹血糖应<span style="color: black;">掌控</span>在5.0~7.2mmol/L之间；<span style="color: black;">运用</span>低血糖<span style="color: black;">危害</span>较高的<span style="color: black;">药品</span>，空腹血糖应<span style="color: black;">掌控</span>在5.0~8.3mmol/L之间。</p><img src="//q3.itc.cn/images01/20240623/e41dfd2b7e9a49e8b9d4a91c8bb8005c.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2、健康状态中等的老年糖友</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">健康状态：</strong>合并≥3种除糖尿病外的慢性<span style="color: black;">疾患</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">血糖<span style="color: black;">掌控</span><span style="color: black;">目的</span>：</strong>未<span style="color: black;">运用</span>低血糖<span style="color: black;">危害</span>较高的<span style="color: black;">药品</span>，空腹血糖应<span style="color: black;">掌控</span>在5.0~8.3mmol/L之间；<span style="color: black;">运用</span>低血糖<span style="color: black;">危害</span>较高的<span style="color: black;">药品</span>，空腹血糖应<span style="color: black;">掌控</span>在5.6~8.3mmol/L之间。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">3、健康状态差的老年糖友</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">健康状态：</strong>合并≥1种治疗受限的慢性<span style="color: black;">疾患</span>（<span style="color: black;">包含</span>转移性恶性肿瘤、需氧疗的肺部<span style="color: black;">疾患</span>、需透析的终末期肾病、晚期心力衰竭），且预期寿命较短。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">血糖<span style="color: black;">掌控</span><span style="color: black;">目的</span>：</strong>无论<span style="color: black;">是不是</span><span style="color: black;">运用</span>低血糖<span style="color: black;">危害</span>较高的<span style="color: black;">药品</span>：空腹血糖都应<span style="color: black;">掌控</span>在5.6~10.0mmol/L之间。</p><img src="//q5.itc.cn/images01/20240623/cf72e79ffbd14e26a400ecad4e0f82e7.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">3、</span>远离糖尿病，牢牢记住做好4点</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span>我国的流行病学数据，老年糖尿病的患病率已攀升至30%。这<span style="color: black;">寓意</span>着，<span style="color: black;">大概</span>7813万老年人被诊断为糖尿病<span style="color: black;">病人</span>，其中绝大<span style="color: black;">都数</span>（超过95%）为2型糖尿病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另外</span>，<strong style="color: blue;">还有45%-47%老年人<span style="color: black;">处在</span>糖尿病前期状态，</strong>这一群体<span style="color: black;">亦</span>面临着较高的糖尿病发病<span style="color: black;">危害</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">糖尿病，本质上是一种与生活方式密切<span style="color: black;">关联</span>的<span style="color: black;">疾患</span>。除了<span style="color: black;">膳食</span><span style="color: black;">原因</span>，<span style="color: black;">平常</span>生活中的多个方面都会对其产生影响。做好以下4点，能够<span style="color: black;">帮忙</span><span style="color: black;">咱们</span>更好地远离和<span style="color: black;">掌控</span>糖尿病：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1.戒酒、少喝饮料</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">酒精摄入过量<span style="color: black;">常常</span><span style="color: black;">伴同</span>着高能量<span style="color: black;">食品</span>的过量摄入，这会<span style="color: black;">引起</span>血糖水平<span style="color: black;">提升</span>。<span style="color: black;">同期</span>，过量饮酒还会<strong style="color: blue;">损害胰腺功能，</strong><span style="color: black;">诱发</span>肝脏<span style="color: black;">损害</span>，<span style="color: black;">增多</span>痛风、癌症和心血管<span style="color: black;">疾患</span>的<span style="color: black;">危害</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span>，糖尿病<span style="color: black;">病人</span>最好戒酒，并减少含糖饮料的摄入，<span style="color: black;">选取</span>饮用白开水、淡茶或咖啡。</p><img src="//q4.itc.cn/images01/20240623/bf370b1042d7419ca191d80719ebcb80.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2.<span style="color: black;">掌控</span>油、盐、糖</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>糖尿病<span style="color: black;">病人</span>和糖尿病前期<span style="color: black;">病人</span><span style="color: black;">来讲</span>，<strong style="color: blue;">保持清淡<span style="color: black;">膳食</span>，<span style="color: black;">掌控</span>油、盐、糖的摄入量至关重要。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">太多</span>的烹调油和肥肉摄入会<span style="color: black;">引起</span>能量过剩，<span style="color: black;">增多</span><span style="color: black;">肥壮</span><span style="color: black;">危害</span>，<span style="color: black;">从而</span>对血糖、血脂、血压等代谢指标产生<span style="color: black;">有害</span>影响。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">3.每周运动150分钟</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">运动是降低血糖的有效<span style="color: black;">办法</span>。</strong>它不仅<span style="color: black;">能够</span>消耗<span style="color: black;">身体</span>多余的热量，还能减少<span style="color: black;">肥壮</span><span style="color: black;">危害</span>，避免胰岛素抵抗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">成人最好<span style="color: black;">每日</span>保持<span style="color: black;">必定</span>量的身体活动，每周<span style="color: black;">最少</span>进行150分钟的中等强度运动或75分钟的高强度运动。<span style="color: black;">另外</span>，还<span style="color: black;">能够</span>结合抗阻运动来<span style="color: black;">加强</span>肌肉力量。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">4.别熬夜早点睡觉</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">熬夜会<span style="color: black;">引起</span>内分泌<span style="color: black;">错乱</span>，影响胰岛素的调节能力。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">科研</span><span style="color: black;">表示</span>，与<span style="color: black;">每日</span>睡足7小时的人相比，<span style="color: black;">睡觉</span>时间不足，<span style="color: black;">每日</span>少于5小时<span style="color: black;">睡觉</span>时间的人，在25年内被诊断出慢性病（如糖尿病、心脏病、癌症）的<span style="color: black;">危害</span>更高。</p><img src="//q7.itc.cn/images01/20240623/0c654f388a004593b316dfea5d1afcb3.jpeg" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">糖尿病的管理需要综合<span style="color: black;">思虑</span><span style="color: black;">膳食</span>、运动、<span style="color: black;">睡觉</span>等多个方面。<span style="color: black;">经过</span>良好生活习惯的养成，<span style="color: black;">咱们</span><span style="color: black;">能够</span>更有效地<span style="color: black;">掌控</span>糖尿病，<span style="color: black;">加强</span>生活质量。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">参考资料：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《健康速递 | 30岁、40岁、50岁患上糖尿病，分别会减寿多少年？》.中日医院.2023-10-11</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《血糖高<span style="color: black;">必定</span>是糖尿病吗？》.开封市人民医院.2023-12-15</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《超过65岁，空腹血糖<span style="color: black;">掌控</span>到多少才<span style="color: black;">恰当</span>？2024年新标准<span style="color: black;">颁布</span>，不是7mmol/L！》.糖尿病之友杂志.2024-02-22</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《11万人<span style="color: black;">科研</span><span style="color: black;">发掘</span>：经常吃这些<span style="color: black;">食品</span>，<span style="color: black;">更易</span>患糖尿病！竟不是油和肉……》.健康时报.2023-12-26</p>
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